The role of health care organizations in patient engagement: Mechanisms to support a strong relationship between patients and clinicians.
The role of health care organizations in patient engagement: Mechanisms to support a strong relationship between patients and clinicians.
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DOI：
10.1097/hmr.0000000000000346
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发表时间：
2023-01-01
影响因子：
2.5
通讯作者：
McAlearney, Ann Scheck
中科院分区：
文献类型：
--
作者：
Sieck, Cynthia J.;Hefner, Jennifer L.;Walker, Daniel M.;Kurien, Natasha;Phelps, Lauren;McAlearney, Ann Scheck
患者参与（PE）对于改善患者体验和结局以及临床医生的工作生活和降低医疗保健成本至关重要，但医疗保健组织（HCO）对如何支持PE的指导有限。参与能力框架考虑了参与的背景，并检查参与的前兆，包括患者的自我效能，资源，意愿和能力。本研究的目的是探讨临床医生和患者的观点，通过与HCO的机制，可以通过参与能力框架的透镜促进PE。我们对美国各地的临床医生和患者顾问进行了一项在线开放式调查，包括关注PE的影响、障碍以及所需技能和工具的问题。出现了一个共同的主题，重点是人道主义协调员在促进参与方面的作用。我们的分析检查了所有标有“医疗保健系统”代码的回复。超过750名临床医生和患者顾问回应了我们的调查。受访者确定为患者提供咨询和支持以管理其护理（自我效能），提供工具以促进沟通（资源），努力鼓励与患者建立联系（意愿），并为HCO员工提供文化能力和沟通技能（能力）培训，作为HCO与参与相关的重要职能。HCO在支持患者和临床医生之间的牢固伙伴关系方面发挥着重要作用。我们的研究确定了HCO可以发挥这一作用的重要机制。HCO的领导和管理可以帮助建立提供护理的文化。提供适当的沟通工具和促进文化上胜任的护理的政策和举措可以增加参与。
Patient engagement (PE) is critical to improving patient experience and outcomes, as well as clinician work life and lowering health care costs, yet health care organizations (HCOs) have limited guidance about how to support PE. The engagement capacity framework considers the context of engagement and examines precursors to engagement, including patients’ self-efficacy, resources, willingness, and capabilities. The aim of this study was to explore clinician and patient perspectives related to mechanisms through with the HCOs can facilitate PE through the lens of the engagement capacity framework. We administered an online open-ended survey to clinicians and patient advisors across the United States, including questions focused on the influences of, barriers to, and skills and tools required for PE. A common theme emerged focusing on the role of HCOs in facilitating engagement. Our analysis examined all responses tagged with the “health care system” code. Over 750 clinicians and patient advisors responded to our survey. Respondents identified offering advice and support for patients to manage their care (self-efficacy), providing tools to facilitate communication (resources), working to encourage connection with patients (willingness), and training for HCO employees in cultural competency and communication skills (capabilities) as important functions of HCOs related to engagement. HCOs play an important role in supporting a strong partnership between the patient and clinicians. Our study identifies important mechanisms through which HCOs can fulfill this role. HCO leadership and administration can help establish the culture of care provided. Policies and initiatives that provide appropriate communication tools and promote culturally competent care can increase engagement.